2012 - 2013 SOUTHERN REGION FFA OFFICER APPLICATION

Name of Candidate Mailing Address Email address Phone number Name of FFA Chapter Year In School Highest FFA Degree Held List those FFA Offices that you have held or are currently holding (state the year and what level i.e. Chapter Section, Region) Office Year Chapter Section Region GPA

Regional Office most interested in 2nd Choice Describe your leadership activities, conferences and involvement in the FFA:

List and describe your 3 best leadership qualities:

What would be your number one goal if elected as a Regional FFA Officer?

On a Regional Officer Team there are seven different personalities. How would you assist in molding this group into one complete team, instead of seven different personalities.

Student & Advisor Signature Section: I have read and reviewed the application for Southern Region FFA Office and believe that the information is correct and accurate:

Applicant's Signature

Chapter Advisor's Signature

Parent and/or Guardian Signature Section: I have read and reviewed the information found on the application for Southern Region FFA Office with my son/daughter. I approve of my son/daughter applying for Southern Region FFA Office and will support their participation in Regional FFA Office activities if elected

Parent Signature

Date

Recommendations: Include with this application, two letters of recommendation, one from an agriculture teacher and another recommendation from a teacher other than an agriculture teacher.

Mail Application to: Mr. Jack Havens, Southern Region FFA Advisor Agriculture Education Dept., Bldg. 2-203 California State Polytechnic University 3801 West Temple Ave. Pomona, CA 91768

Application Deadline: February 3, 2012 Interview Date/Location February 11, 2012 9:00 AM Cal Poly, Pomona - College of Agriculture - Building 2

(PLEASE DETACH AND GIVE TO YOUR CHAPTER ADVISOR)

2012-2013 Southern Region FFA Officer Candidate Survey by Chapter Advisor Name of Candidate Chapter
Please rate the leadership attributes of your candidate by circling the correct response to the following: (5) Outstanding (4) Strong (3) Average (2) Needs Improvement (1 ) Weak

Speaking Ability Ability to Work in a Team Intelligence Intrinsically Motivated Maturity Professional Look Dependability Enthusiasm Judgment Leadership Abilities Involvement in Chapter Activities Potential as Regional Officer

5 5 5 5 5 5 5 5 5 5 5

4 4 4 4 4 4 4 4 4 4 4

3 3 3 3 3 3 3 3 3 3 3

2 2 2 2 2 2 2 2 2 2 2

1 1 1 1 1 1 1 1 1 1 1

Add other comments about this candidate (optional)

Signature of Advisor

Date

(Note: please mail this survey in separate from the Regional Officer application to Mr. Havens no later than February 3, 2012)

(CANDIDATE MAY DETACH AND KEEP THIS SECTION) Regional Officer Schedule for their year of service is as follows: Month June July August September November February February March March April April # of Days 3 5 3 1 2 1 1 1 1 1 4 Event Region Officer Retreat Region Officer Leadership Conference Region Leadership Summit LA County Fair Judging Day SOCAL Leadership Conference Region Executive Meeting Region Officer Screening Region Award Banquet Region Contest Finals Spring Region Meeting State FFA Convention

Interview Process for Region Office: 1. The screening will occur on February 11, 2012 at 9:00 AM at Cal Poly - Pomona, College of Agriculture 2. The screening committee will consist of the current senior Regional Officers and the Regional FFA Advisor and Assistant Advisor. 3. It is expected that you will be on time and be in Official Dress Uniform. 4. Each candidate will be asked 5 - 10 minutes worth of questions relating to the FFA and your leadership abilities. 5. Each candidate will be required to take a FFA Test of 50 questions. The test questions will come from: a. Official FFA Manual b. State FFA Constitution c. Names of Region/State/National FFA Officers and Advisors 6. Each candidate may be asked to prepare a impromptu presentation based on a given leadership topic. 7. Each candidate will complete and hand in a card listing their top five (5) qualifications. 8. At the conclusion of the screening, the committee will set the ballot and announce the results at approximately 5:00 PM 9. Potential interview questions can be found at www.srffa.org under the Program of Work heading.